The Successful Treatment of Chronic Cholecystitis with SpyGlass Cholangioscopy-Assisted Gallbladder Drainage and Irrigation through Self-Expandable Metal Stents
نویسندگان
چکیده
A 34-year-old female with a history of advanced pulmonary sarcoidosis and right-sided heart failure presented with chronic, postprandial right upper quadrant pain, and weight loss. Endoscopic biliary drainage was deemed to be the most appropriate therapeutic option for her chronic cholecystitis. Endoscopic retrograde cholangiopancreatography utilizing the SpyGlass cholangioscopy system allowed us to access the cystic duct through which the gallbladder was ultimately decompressed, via biliary stent placement and gallstone irrigation. This is the first report of SpyScope assisted placement of fully covered self-expandable metal biliary stents into the cystic duct enabling definitive treatment of symptomatic chronic cholecystitis and cholelithiasis without cholecystectomy.
منابع مشابه
Feasibility study of EUS-NOTES as a novel approach for peroral cholecysto-gastrostomy.
BACKGROUND EUS-guided cholecysto-gastrostomy might be a useful minimally invasive procedure used for salvage drainage in advanced pancreaticobiliary cancers, but also for drainage of the gallbladder in acute cholecystitis in patients deemed unfit for laparoscopic surgery. OBJECTIVE Direct EUS-guided cholecysto-gastrostomy with placement of a double flanged expandable metal stents. DESIGN/SE...
متن کاملEndoscopic Nasogallbladder Drainage in Patients with Acute Cholecystitis: What’s Predictive Factor for Technical Success?
which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Although cholecystectomy is the treatment of choice in patients with acute cholecystitis, nonsurgical gallbladder de-compression may be preferable for patients of advanced age or underlying comorbidities such as liver cirrhosis or cardiopul-monary disease. P...
متن کاملEndoscopic ultrasound-guided gallbladder drainage for acute cholecystitis: Long-term outcomes after removal of a self-expandable metal stent
AIM To assess the long-term outcomes of this procedure after removal of self-expandable metal stent (SEMS). The efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with SEMS were also assessed. METHODS Between January 2010 and April 2015, 12 patients with acute calculous cholecystitis, who were deemed unsuitable for cholecystectomy, underwent EUS-GBD with a SEMS...
متن کاملEUS-guided gallbladder drainage and hepaticogastrostomy for acute cholecystitis and obstructive jaundice (with video).
gastrostomy for acute cholecystitis and obstructive jaundice (with video) Recently, endoscopic ultrasound (EUS)guided gallbladder drainage has been reported in patients who are unsuitable candidates for cholecystectomy [1,2]. However, this procedure can also lead to several complications, including stent migration. Novel methods or new devices are required to prevent these complications. We rep...
متن کاملManagement of common bile duct stricture caused by chronic pancreatitis with metal mesh self expandable stents.
Twenty patients with chronic pancreatitis and signs of biliary obstruction were treated by endoscopic placement of self expandable metal mesh stents, and followed up prospectively. Eleven had been treated previously with plastic endoprostheses. All had persistent cholestasis, seven patients had jaundice, and three overt cholangitis. Endoscopic stent placement was successful in all cases. No ear...
متن کامل